0001209191-17-065316.txt : 20171212 0001209191-17-065316.hdr.sgml : 20171212 20171212205824 ACCESSION NUMBER: 0001209191-17-065316 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171206 FILED AS OF DATE: 20171212 DATE AS OF CHANGE: 20171212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOLLER DENIS M. CENTRAL INDEX KEY: 0001618089 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36623 FILM NUMBER: 171252881 MAIL ADDRESS: STREET 1: C/O CIVITAS SOLUTIONS, INC. STREET 2: 313 CONGRESS STREET, 6TH FLOOR CITY: BOSTON STATE: MA ZIP: 02210 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Civitas Solutions, Inc. CENTRAL INDEX KEY: 0001608638 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 651309110 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 313 CONGRESS STREET STREET 2: 6TH FLOOR CITY: BOSTON STATE: MA ZIP: 02210 BUSINESS PHONE: 617-790-4800 MAIL ADDRESS: STREET 1: 313 CONGRESS STREET STREET 2: 6TH FLOOR CITY: BOSTON STATE: MA ZIP: 02210 FORMER COMPANY: FORMER CONFORMED NAME: CIVITAS SOLUTIONS, INC. DATE OF NAME CHANGE: 20140523 FORMER COMPANY: FORMER CONFORMED NAME: NMH HOLDINGS, INC. DATE OF NAME CHANGE: 20140520 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-12-06 0 0001608638 Civitas Solutions, Inc. CIVI 0001618089 HOLLER DENIS M. C/O CIVITAS SOLUTIONS, INC. 313 CONGRESS STREET BOSTON MA 02210 0 1 0 0 Chief Financial Officer Common Stock 2017-12-06 4 F 0 893 18.95 D 282339 D Common Stock 2017-12-08 4 A 0 7401 0.00 A 289740 D Employee Sock Option (right to buy) 19.00 2017-12-08 4 A 0 10146 0.00 A 2027-12-08 Common Stock 10146 10146 D These sales were withheld by the Company to cover the payment of taxes incurred by the reporting person as a result of partial vesting of restricted stock units granted on December 9, 2016. Represents restricted stock units issued to the reporting person. The restricted stock units are subject to the terms and conditions of Civitas Solutions, Inc. 2014 Omnibus Plan, and vest in three equal annual increments over a three-year period, with the first vesting date on December 8, 2018. The stock options are subject to the terms and conditions of the Civitas Solutions, Inc. 2014 Omnibus Incentive Plan, and vest in three equal annual increments over a three-year period, with the first vesting date on December 8, 2018. /s/ Gina L. Martin, by power of attorney 2017-12-12